{"id":1192,"date":"2018-06-08T09:49:48","date_gmt":"2018-06-08T07:49:48","guid":{"rendered":"http:\/\/eusen.org\/?page_id=1192"},"modified":"2018-06-08T09:57:59","modified_gmt":"2018-06-08T07:57:59","slug":"compentencies","status":"publish","type":"page","link":"https:\/\/eusen.org\/?page_id=1192","title":{"rendered":"Compentencies"},"content":{"rendered":"<p>Competence is an ability with a theoretical basis that can be practically assessed. An individual who achieves competence must have a defined level of theoretical knowledge and the ability to demonstrate a practical application of those skills in a wide range of clinical scenarios.<\/p>\n<p>&nbsp;<\/p>\n<p>Emergency Department Nurse Competencies<\/p>\n<p>&nbsp;<\/p>\n<ol>\n<li>Clinical skills<\/li>\n<li>Communication skills<\/li>\n<li>Teamwork\/collaboration<\/li>\n<li>Knowledge and scope of practice<\/li>\n<li>Professional development<\/li>\n<li>Organisational awareness<\/li>\n<li>Research<\/li>\n<li>Quality improvement<\/li>\n<\/ol>\n<p><strong><u>\u00a0<\/u><\/strong><strong>\u00a0<\/strong><\/p>\n<ol>\n<li><strong>Clinical skills<\/strong><\/li>\n<\/ol>\n<p><strong>\u00a0<\/strong><\/p>\n<ul>\n<li>Early detection of critical presenting symptoms.<\/li>\n<li>Assessment of patients based on the Airway, Breathing, Circulation, Disability and Exposure (ABCDE) methodology.<\/li>\n<li>Initiation of timely nursing interventions in accordance with evidence based clinical pathways and guidelines.<\/li>\n<li>Continuous assessment and early escalation of care based on clinical knowledge to minimise the risk of deterioration.<\/li>\n<li>Application of critical thinking skills to recognise and actively participate in the treatment of a wide range of clinical presentations.<\/li>\n<li>Utilisation of Triage as a dynamic process to ensure continuous prioritisation of patients based on clinical needs.<\/li>\n<li>Application of the triage process to ensure that the patient is seen within the right time, in the right place by the right caregiver for the right reason.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<ol start=\"2\">\n<li><strong>Communication<\/strong><\/li>\n<\/ol>\n<p><strong>\u00a0<\/strong><\/p>\n<ul>\n<li>Communicates effectively and professionally with patients, relatives and the multi-disciplinary clinical team<\/li>\n<li>Utilisation of available technologies to maximise communication and support patients\u2019 independence and autonomy.<\/li>\n<li>Communicates with all members of the multi-disciplinary team prioritising a patient centred approach.<\/li>\n<li>Communicates in a professional manner.<\/li>\n<li>Delivers clear, concise, accurate and timely communication.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<ol start=\"3\">\n<li><strong>Teamwork\/collaboration<\/strong><\/li>\n<\/ol>\n<p><strong>\u00a0<\/strong><\/p>\n<ul>\n<li>Co-ordination and participation within the multi-disciplinary team to respond to the patients\u2019 needs based on clinical urgency.<\/li>\n<li>Recognition and response to all emergency and disaster situations.<\/li>\n<li>Appropriate initiation of referrals to multi-disciplinary team members or service providers outside the Emergency Department to support individualised patient care.<\/li>\n<\/ul>\n<p><strong>\u00a0<\/strong><\/p>\n<ol start=\"4\">\n<li><strong>Knowledge and scope of practice<\/strong><\/li>\n<\/ol>\n<p><strong>\u00a0<\/strong><\/p>\n<ul>\n<li>Application of emergency nursing care within individual professional scope of practice and seeks support or guidance as appropriate.<\/li>\n<li>Actively seeks feedback from colleagues whilst critically reflecting on personal professional nursing practice.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<ol start=\"5\">\n<li><strong>Professional development<\/strong><\/li>\n<\/ol>\n<p><strong>\u00a0<\/strong><\/p>\n<ul>\n<li>Has achieved or is working towards a postgraduate qualification in Emergency Nursing.<\/li>\n<li>Maintains a professional portfolio that includes documented learning and performance goals.<\/li>\n<li>Participates and contributes to activities or events that enhance the profile of emergency nursing.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<ol start=\"6\">\n<li><strong>Organisational awareness<\/strong><\/li>\n<\/ol>\n<p><strong>\u00a0<\/strong><\/p>\n<ul>\n<li>Functions as a professional representative of the Emergency Department.<\/li>\n<li>Manages space within the Emergency Department to achieve maximum efficiency and optimise patient flow.<\/li>\n<li>Proactively manages patient flow to minimise the impact of access block and to optimise patient safety.<\/li>\n<li>Actively maintains and supports professional networks both inside and outside their healthcare organisation.<\/li>\n<li>Demonstrates a thorough working knowledge of departmental and organisational policies and procedures.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<ol start=\"7\">\n<li><strong>Research <\/strong><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<ul>\n<li>Participates in and supports research that promotes emergency nursing.<\/li>\n<li>Promotes a culture of research and evidence based practice within the emergency nursing care profession.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<ol start=\"8\">\n<li><strong>Quality improvement<\/strong><\/li>\n<\/ol>\n<p><strong>\u00a0<\/strong><\/p>\n<ul>\n<li>Takes personal responsibility for professional development.<\/li>\n<li>Actively contributes to the development of professional standards in Emergency Nursing.<\/li>\n<li>Promotes and participates in a culture of continuous quality improvement within the emergency nursing profession.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><strong>*Nursing interventions<\/strong><\/p>\n<p><strong>\u00a0<\/strong><\/p>\n<p>A\/B: Assessment of airways and breathing. Administration of oxygen, nasal, oral or inhalational medications (nursing standing orders).<\/p>\n<p>C: Assessment of circulation, intravenous (IV) cannula insertion, administration of IV medications and completion of an Electrocardiograph (ECG).<\/p>\n<p>D: Collection of the patient\u2019s vital signs, blood sugar level (BSL) and Glasgow Coma Scale (GCS).<\/p>\n<p>E: Completion of a full body check (head to toe), clinical assessment and application of casts or wound dressings.<\/p>\n<p><strong>\u00a0<\/strong><\/p>\n<p><strong>Others: <\/strong><\/p>\n<p>Collection of blood or urine samples, insertion of urinary catheter, ordering of limb X-rays as appropriate.<\/p>\n<p><strong>\u00a0<\/strong><\/p>\n<p><strong>References:<\/strong><\/p>\n<p><strong>\u00a0<\/strong><\/p>\n<p>Learning outcomes for a bachelor in Emergency care; presentation Maria Deneire 2014 (Belgium)<\/p>\n<p>NENA standards and practice Emergency core competencies 2014 (Canada)<\/p>\n<p>CENA practice standards for the Emergency Nursing Specialist 2013 (Australia)<\/p>\n<p>Areas of expertise and attainment targets for Emergency nursing care (The Netherlands)<\/p>\n<p>ICN Nursing care continuum framework and competencies<\/p>\n<p><a href=\"http:\/\/www.dictonary.com\">www.dictonary.com<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Competence is an ability with a theoretical basis that can be practically assessed. An individual who achieves competence must have a defined level of theoretical knowledge and the ability to demonstrate a practical application&#46;&#46;&#46;<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":21,"menu_order":1,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"class_list":["post-1192","page","type-page","status-publish","hentry"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/eusen.org\/index.php?rest_route=\/wp\/v2\/pages\/1192","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/eusen.org\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/eusen.org\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/eusen.org\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/eusen.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1192"}],"version-history":[{"count":3,"href":"https:\/\/eusen.org\/index.php?rest_route=\/wp\/v2\/pages\/1192\/revisions"}],"predecessor-version":[{"id":1196,"href":"https:\/\/eusen.org\/index.php?rest_route=\/wp\/v2\/pages\/1192\/revisions\/1196"}],"up":[{"embeddable":true,"href":"https:\/\/eusen.org\/index.php?rest_route=\/wp\/v2\/pages\/21"}],"wp:attachment":[{"href":"https:\/\/eusen.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1192"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}